Individual
MRS. DRUCILLA PETTIT CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.S.W.
Contact information
Practice address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Mailing address
337 E 1250 N, OREM, UT 84057-2730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5682326-3502
UT
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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